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WALGREEN CO.
CH08017P PUEBLO COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
PUEBLO COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Chavez/Huerta K-12 Preparatory Academy
Type
HRSA-Funded Health Center
340B ID
CH08017P
Entity Address
2727 W 18th St
Pueblo, CO 81003-1185
Grant Number
H80CS00692
Participating Start Date
10/1/2019
Last Recertification Date
3/2/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 05642
1811 W US HWY 50
PUEBLO, CO 81008
Pharmacy Comments
Contract Details
Approval Date
4/12/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Donald Moore, CEO
(719) 543-8718 Ext: 139
Contract Pharmacy Representative
PCHC
Jenna Valentine, Pharmacy Director
(719) 543-8711
Signed By Date
4/12/2024
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